@layout("/common/_form.html",{js:["/assets/btyElm/btyElm_edit.js"]}){

<form class="layui-form" id="btyElmForm" lay-filter="btyElmForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">基本信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="id" type="hidden"/>

                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">门店id<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="mdid" name="mdid" placeholder="请输入门店id" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">店名<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="dm" name="dm" placeholder="请输入店名" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">结算金额<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="jsje" name="jsje" placeholder="请输入结算金额" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">账单日期<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="zdrq" name="zdrq" placeholder="请输入账单日期" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">结算日期<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="jsrq" name="jsrq" placeholder="请输入结算日期" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">账单类型<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="zdlx" name="zdlx" placeholder="请输入账单类型" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">入账id<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="rzid" name="rzid" placeholder="请输入入账id" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>

</form>

@}